| NPI | 1710470901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAINE AGNER CEO 828-595-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2019-04-11 |